| NPI | 1942917646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASAN AL KHAFAJI Owner 207-272-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2022-11-01 |